EP3381353A1 - Procédé de planification d'un protocole d'imagerie - Google Patents
Procédé de planification d'un protocole d'imagerie Download PDFInfo
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- EP3381353A1 EP3381353A1 EP17163915.6A EP17163915A EP3381353A1 EP 3381353 A1 EP3381353 A1 EP 3381353A1 EP 17163915 A EP17163915 A EP 17163915A EP 3381353 A1 EP3381353 A1 EP 3381353A1
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Definitions
- US2011258570 A1 relates to a method for using an electronic device having a display to prepare a patient for a medical treatment, the method including the steps of: representing a world on the display, wherein one or more medical objects related to the medical treatment are placed in the world; receiving an input from the patient to select the medical objects; selecting the medical objects; and providing feedback to the patient to indicate that the medical objects have been selected.
- imaging scan protocol refers to a set of computer executable instructions that can be provided to the scanning imaging system in order to control the scanning imaging system to perform an imaging operation in a desired manner.
- MRI magnetic resonance imaging
- pulse sequences are a fast-field echo sequence, turbo-field echo sequence, gradient-echo sequence, inversion Echo Single-Shot EPI Gradient Echo etc.
- imaging scan includes both scans including only a single 2D image frame acquisition pass as well as 3D scanning techniques wherein each individual scan is performed as a time series of individual acquisition passes which are equal in terms of parameters and contrasts.
- the term “scan” may refer to a data acquisition sequence including applying a static magnetic field and a gradient magnetic field, transmitting an RF pulse, receiving an MRI signal, storing the received MRI signal.
- virtual reality system refers to a system which that used software to generate realistic images and sounds that replicates a real environment and simulate a user's physical presence in this environment.
- the environment is the scanner to be used for performing the imaging scan, for example a magnetic resonance imaging scanner.
- the simulation includes for example the movement of the patient lying on a table into the bore of the magnet of the MR scanner, as well as the situation when a region of interest of the patient is located within the bore of the scanner and is subject to an imaging scan.
- Embodiments of the invention may have the advantage that the total quality of the imaging is increased.
- the physiological data recorded during the simulating permits to the deduce information like for example the stress level the patient experiences during the simulated imaging scan.
- the patient may start making undesired movements and breathe faster, which may have a negative effect on the quality of the MR images acquired during a real MR scan.
- the straightforward compensation of low image quality would be the repetition of performing a certain part of the imaging scan or even the whole imaging scan, which would in turn stress the patient even more and additionally make the imaging system unavailable for imaging of other patients.
- individual physiological reactions of the patient with respect to the simulated imaging scan can be considered for accordingly modifying the chosen imaging scan protocol.
- the total quality of the imaging may be significantly increased.
- the headset may comprise a sensor which records the actual heart rate of the patient and the breathing rate of the patient.
- the skin conductance of the patient may be easily measured using conductivity sensors that are integrated into the headset.
- the method is further comprising generating a 3D model of the scanner to be used for performing the imaging scan and generating an acoustic model of the noise emissions of the scanner resulting from performing the imaging scan, the simulating comprising an optical visualization of the imaging scan using the 3D model and an acoustic simulation of the imaging scan using the acoustic model, the optical visualization and the acoustic simulation mimicking the visual and acoustic impressions on the patient when the patient is subject to the imaging scan in reality.
- the patient knows exactly what to expect and what to do during the imaging scan. For example, in case the patient has to perform some sort of breath holding technique during at the imaging scan, since he is trained accordingly by the simulation the patient knows in advance how to react to certain spoken breath holding commands that will be given to him by the operator or the imaging system itself during the real imaging scan. It has to be noted here that the provision of spoken commands to a patient can be automatically performed by the scanning imaging system. The provision of the commands via a loudspeaker or headphone the patient is wearing during the imaging may be part of the scanning imaging protocol. Again, the risk of scan delays due to wrong or the late response of the patient to certain spoken commands is minimized which in the turn increases the scanning imaging system availability to other patients.
- the noise emissions of the scanner may be due to operations of gradient coils, pump systems used for cooling a magnet of for example the MRI system, as well as commands provided to the patient in verbally manner during the imaging scan.
- the optical visualization of the imaging scan using the 3-D model comprises for example the movement of the patient lying on the movable bed of the scanner into the bore of the scanner.
- the physiological data is comprising anyone of the following: blood pressure, skin conductance, heart rate, breath rate, breathing pattern, blood oxygen saturation, pupil width, pupil movement, muscle tension (EMG), neuronal activity (EEG), skin temperature, reaction time for performing a physical or mental activity, breath hold duration.
- the method is further comprising anyone of in case a combination of values of the physiological data is above a predefined threshold level, modifying the chosen imaging scan protocol such that the combination of values of the physiological data to be expected when performing the imaging scan protocol in reality is reduced below the threshold level, in case the combination of values of the physiological data is below a predefined threshold level, modifying the chosen imaging scan protocol such that the combination of values of the physiological data level to be expected when performing the imaging scan protocol in reality is at the threshold level.
- the chosen imaging scan protocol can be modified in such a manner that the combination of values of the physiological data is increasing but still below the threshold level.
- certain parameters of the imaging scan protocol may be modified to increase breath hold durations or noise emissions due to higher gradient coil magnetic fields. This in turn leads either to a reduced total imaging time or to higher quality of the acquired MR images.
- the modification of the chosen imaging scan protocol is comprising anyone of: a modification of the time duration of the chosen imaging scan protocol, a modification of the noise level resulting from performing the chosen imaging scan protocol, a modification of the image acquisition parameters of the chosen imaging scan protocol, a modification of the image reconstruction parameters of the chosen imaging scan protocol, a splitting of the chosen imaging scan protocol into a set of scan sequences separated in time from each other, rearranging the order of a set of scan sequences comprised in the chosen imaging scan protocol.
- the imaging scan protocol may for example be adapted to the pre-recorded patient specific pattern in such a manner that images are always taken during the same phase of breathing. As a consequence, all recorded images show the same geometric conditions of the body of the patient which simplifies a high quality image reconstruction process.
- the scanning system is a magnetic resonance imaging system.
- other types of scanning systems like for example CT scanning systems may be used.
- the computer readable medium may be a computer readable signal medium or a computer readable storage medium.
- a 'computer-readable storage medium' as used herein encompasses any tangible storage medium which may store instructions which are executable by a processor of a computing device.
- the computer-readable storage medium may be referred to as a computer-readable non-transitory storage medium.
- the computer-readable storage medium may also be referred to as a tangible computer readable medium.
- a computer-readable storage medium may also be able to store data which is able to be accessed by the processor of the computing device.
- a computer readable signal medium may include a propagated data signal with computer executable code embodied therein, for example, in baseband or as part of a carrier wave. Such a propagated signal may take any of a variety of forms, including, but not limited to, electro-magnetic, optical, or any suitable combination thereof.
- a computer readable signal medium may be any computer readable medium that is not a computer readable storage medium and that can communicate, propagate, or transport a program for use by or in connection with an instruction execution system, apparatus, or device.
- These computer program instructions may also be stored in a computer readable medium that can direct a computer, other programmable data processing apparatus, or other devices to function in a particular manner, such that the instructions stored in the computer readable medium produce an article of manufacture including instructions which implement the function/act specified in the flowchart and/or block diagram block or blocks.
- a 'user interface' as used herein is an interface which allows a user or operator to interact with a computer or computer system.
- a 'user interface' may also be referred to as a 'human interface device.
- a user interface may provide information or data to the operator and/or receive information or data from the operator.
- a user interface may enable input from an operator to be received by the computer and may provide output to the user from the computer.
- the user interface may allow an operator to control or manipulate a computer and the interface may allow the computer indicate the effects of the operator's control or manipulation.
- the display of data or information on a display or a graphical user interface is an example of providing information to an operator.
- Magnetic Resonance (MR) data is defined herein as being the recorded measurements of radio frequency signals emitted by atomic spins using the antenna of a magnetic resonance apparatus during a magnetic resonance imaging scan. Magnetic resonance data is an example of medical imaging data.
- a Magnetic Resonance (MR) image is defined herein as being the reconstructed two or three dimensional visualization of anatomic data contained within the magnetic resonance imaging data.
- Fig. 1 shows an example of a magnetic resonance imaging system 100 with a magnet 104.
- the above described principles of the invention can be applied to any imaging system like computer tomography, projectional radiography, diagnostic sonography etc. Therefore, the subsequent discussion regarding MRI shall not be considered as being limiting to MRI.
- the magnet 104 is a superconducting cylindrical type magnet with a bore 106 through it.
- the use of different types of magnets is also possible; for instance it is also possible to use both a split cylindrical magnet and a so called open magnet.
- a split cylindrical magnet is similar to a standard cylindrical magnet, except that the cryostat has been split into two sections to allow access to the iso-plane of the magnet, such magnets may for instance be used in conjunction with charged particle beam therapy.
- An open magnet has two magnet sections, one above the other with a space in-between that is large enough to receive a subject: the arrangement of the two sections area similar to that of a Helmholtz coil. Open magnets are popular, because the subject is less confined.
- a collection of superconducting coils Inside the cryostat of the cylindrical magnet there is a collection of superconducting coils. Within the bore 106 of the cylindrical magnet 104 there is an imaging zone 108 where the magnetic field is strong and uniform enough to perform magnetic resonance imaging. A region of interest 109 is shown within the imaging zone 108. A subject 118, for example a patient, is shown as being supported by a subject support 120, for example a moveable table, such that at least a portion of the subject 118 is within the imaging zone 108 and the region of interest 109.
- a subject support 120 for example a moveable table
- the magnetic field gradient coils 110 are intended to be representative. Typically magnetic field gradient coils 110 contain three separate sets of coils for spatially encoding in three orthogonal spatial directions.
- a magnetic field gradient power supply supplies current to the magnetic field gradient coils. The current supplied to the magnetic field gradient coils 110 is controlled as a function of time and may be ramped or pulsed.
- the computer memory 134 is shown as containing machine-executable instructions 140.
- the machine-executable instructions contain commands or instructions which enable the processor 130 to control the operation and function of the magnetic resonance imaging system 100.
- the computer memory 134 is shown as further containing imaging scan protocols 141.
- Each imaging scan protocol may comprise pulse sequence commands 142 for one or multiple pulse sequences which are either instructions or data which maybe converted into instructions which enable the processor 130 to control the magnetic resonance imaging system 100 to acquire magnetic resonance data.
- the pulse sequence commands 142 may therefore be part of an imaging scan protocol.
- the magnetic resonance data may for instance be used to cause the magnetic resonance imaging system to perform multiple pulse repetitions which cause magnetic resonance signals 144 to be acquired.
- Fig. 2 depicts a virtual reality system which comprises a headset 200.
- the headset has the built-in screen 202 and speakers 204.
- the person is immersed in a three dimensional environment which can be visually experienced using the screen 202 and audibly be experienced using the speakers 204.
- Sensors 206 are further provided in order to recorded physiological data of the person.
- a person 118 may be sitting on a chair or a sofa 302 either at home or in the waiting room of a radiology office.
- the person 118 may be scheduled for being subject to a magnetic resonance imaging scan using the magnetic resonance scanner that was discussed above with respect to Fig. 1 .
- a chosen imaging scan protocol was preselected for the patient 118 by a medical doctor or radiologist.
- the computing system 212 may modify the chosen imaging scan protocol or the computing system 212 may send electronic instructions to the magnetic resonance imaging system the 100 of Fig. 1 for modifying the chosen imaging scan protocol to be applied when the patient is subject to the imaging in reality.
- acoustic instructions by the radiologist may also be simulated using the speakers 204.
- the radiologist may give a spoken command to the patient asking him to hold breath.
- the reaction capabilities of the patient can be monitored during the simulation and within certain limits be exercised and trained. In case the patient's reaction capabilities are reduced there maybe a rather long time span between giving the acoustic command to the patient and the patient understanding and comprehending.
- the chosen imaging protocol may be modified in such a manner that MR data acquisition is started only after a certain time delay after giving the command.
- giving the command may be automated, computer controlled and computer executed using instructions of the imaging protocol.
- the virtual reality device can be any suitable, i.e. reliable, durable, ergonomic, hardware.
- the physiology information can be retrieved via e.g. a wrist band or camera-based system.
- an imaging device-dependent virtual reality model including visualization and sound, as well as optionally an imaging site-specific virtual reality (VR) layout may be simulated to the patient.
- patient specific parameters e.g. anxiety
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- Primary Health Care (AREA)
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- Animal Behavior & Ethology (AREA)
- Biophysics (AREA)
- Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
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- Data Mining & Analysis (AREA)
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Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
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EP17163915.6A EP3381353A1 (fr) | 2017-03-30 | 2017-03-30 | Procédé de planification d'un protocole d'imagerie |
PCT/EP2018/057912 WO2018178148A1 (fr) | 2017-03-30 | 2018-03-28 | Procédé de planification d'un protocole de balayage d'imagerie |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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EP17163915.6A EP3381353A1 (fr) | 2017-03-30 | 2017-03-30 | Procédé de planification d'un protocole d'imagerie |
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EP3381353A1 true EP3381353A1 (fr) | 2018-10-03 |
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EP17163915.6A Withdrawn EP3381353A1 (fr) | 2017-03-30 | 2017-03-30 | Procédé de planification d'un protocole d'imagerie |
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EP (1) | EP3381353A1 (fr) |
WO (1) | WO2018178148A1 (fr) |
Cited By (6)
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CN109452937A (zh) * | 2018-12-26 | 2019-03-12 | 中国计量科学研究院 | 多功能人体电生理模拟装置及控制方法 |
EP3862770A1 (fr) * | 2020-02-04 | 2021-08-11 | Koninklijke Philips N.V. | Appareil de surveillance d'un patient subissant un examen d'imagerie par résonance magnétique |
EP3943007A1 (fr) * | 2020-07-23 | 2022-01-26 | Siemens Healthcare GmbH | Procédé, dispositif et système pour fournir un exercice de procédure médicale virtuelle |
EP3973865A1 (fr) * | 2020-09-29 | 2022-03-30 | Koninklijke Philips N.V. | Appareil d'optimisation d'une séquence de balayages à résonance magnétique (rm) d'un examen rm |
EP4023152A1 (fr) * | 2021-01-05 | 2022-07-06 | Koninklijke Philips N.V. | Système et procédé de création de profil de patient |
EP4213156A1 (fr) * | 2022-01-12 | 2023-07-19 | Koninklijke Philips N.V. | Système de recommandation utilisant des tests cognitifs préalables pour sélectionner des tâches de balayage irm optimales |
Families Citing this family (2)
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CN112494030A (zh) * | 2019-11-29 | 2021-03-16 | 上海联影智能医疗科技有限公司 | 心脏成像系统和方法 |
CN113133778B (zh) * | 2021-04-22 | 2023-05-30 | 上海联影医疗科技股份有限公司 | 一种对象扫描方法、装置、设备及存储介质 |
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Cited By (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109452937A (zh) * | 2018-12-26 | 2019-03-12 | 中国计量科学研究院 | 多功能人体电生理模拟装置及控制方法 |
CN109452937B (zh) * | 2018-12-26 | 2022-04-08 | 中国计量科学研究院 | 多功能人体电生理模拟装置及控制方法 |
EP3862770A1 (fr) * | 2020-02-04 | 2021-08-11 | Koninklijke Philips N.V. | Appareil de surveillance d'un patient subissant un examen d'imagerie par résonance magnétique |
WO2021156142A1 (fr) * | 2020-02-04 | 2021-08-12 | Koninklijke Philips N.V. | Appareil de surveillance d'un patient subissant un balayage d'image par résonance magnétique |
EP3943007A1 (fr) * | 2020-07-23 | 2022-01-26 | Siemens Healthcare GmbH | Procédé, dispositif et système pour fournir un exercice de procédure médicale virtuelle |
EP3973865A1 (fr) * | 2020-09-29 | 2022-03-30 | Koninklijke Philips N.V. | Appareil d'optimisation d'une séquence de balayages à résonance magnétique (rm) d'un examen rm |
WO2022069166A1 (fr) | 2020-09-29 | 2022-04-07 | Koninklijke Philips N.V. | Appareil d'optimisation d'une séquence de balayages par résonance magnétique (rm) d'un examen rm |
EP4023152A1 (fr) * | 2021-01-05 | 2022-07-06 | Koninklijke Philips N.V. | Système et procédé de création de profil de patient |
WO2022148678A1 (fr) * | 2021-01-05 | 2022-07-14 | Koninklijke Philips N.V. | Système et procédé de création de profil de patient |
EP4213156A1 (fr) * | 2022-01-12 | 2023-07-19 | Koninklijke Philips N.V. | Système de recommandation utilisant des tests cognitifs préalables pour sélectionner des tâches de balayage irm optimales |
WO2023135040A1 (fr) * | 2022-01-12 | 2023-07-20 | Koninklijke Philips N.V. | Système de recommandation utilisant un pré-test cognitif pour sélectionner des tâches d'irm optimales |
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